According to the fifth national consensus report on the treatment of Helicobacter pylori infection in 2017, the Helicobacter pylori infection rate in my country is still about 50%. ①

Studies have also shown that approximately 1% of infected people will eventually develop gastric cancer. my country has 1.4 billion people and 700 million people have been infected. This number is very huge. Even if 1% of infected people suffer from gastric cancer without treatment, there will be 7 million "candidates for gastric cancer."

Helicobacter pylori infection is so common, it may also cause stomach cancer, how should we deal with it?

Is Helicobacter pylori good or bad? Current research shows that Helicobacter pylori is the main cause of human peptic ulcer and chronic gastritis; uncontrolled Helicobacter pylori infection may also lead to gastric cancer or gastric lymphoma... Therefore, in 1994, Helicobacter pylori Helicobacter has been identified as a Class I carcinogen by the World Health Organization and the International Agency for Research on Cancer (IARC)! In this way, Helicobacter pylori seems to be a "bad" bacterium! However, current research has also found that for some people, the infection rate of Helicobacter pylori is high, but the incidence of gastric cancer has not risen. For some people, Helicobacter pylori has been eradicated and the incidence of reflux esophagitis is high, and some people are even more prone to allergies. It seems that Helicobacter pylori is not useless. ②Does Helicobacter pylori need to be "eradicated"? Whether it is the consensus of domestic experts in my country in 2007 or 2012, experts believe that Helicobacter pylori-related diseases are infectious diseases with clear pathogens. Especially in peptic ulcer, gastric cancer, and certain types of lymphoma of the stomach, all tend to "eradicate Helicobacter pylori"! In 2015, the consensus of the international Helicobacter pylori experts in Kyoto, Japan even proposed to "reduce the possibility of diseases such as gastric cancer and chronic gastritis." Once Helicobacter pylori is detected, it should be eradicated. ②As long as Helicobacter pylori is found, will it be "killed"? In fact, Helicobacter pylori is just a kind of bacteria living in the stomach that has been studied more. At present, there is a view that the so-called Helicobacter pylori infection is actually a special case of gastrointestinal flora disorder. It suggests that the human body environment is disordered. Essentially, the balance of the body environment should be adjusted instead of focusing on a Helicobacter pylori. Pursue hard work, let alone eradicate Helicobacter pylori and cause the ecological imbalance of the probiotic population in the body. Secondly, the current classic eradication of Helicobacter pylori often requires the synergy of multiple antibiotics to achieve better results. Abuse of antibiotics or irregular use of antibiotics can easily produce drug-resistant bacteria, leading to multiple eradications of Helicobacter pylori. The bacteria were unsuccessful. Repeated eradication is not only easy to increase the burden on the liver and kidney, but also easy to cause disorders of the intestinal flora, leading to the imbalance of the human body environment, resulting in more disease states. Not to mention that the currently recommended four-drug combination for the eradication of Helicobacter pylori has a cost of nearly 1,000 yuan in the past two weeks, which is also a considerable medical burden. However, for those patients whose pathogenesis has been studied more thoroughly and who all agree that they have Helicobacter pylori-related diseases, such as peptic ulcer, gastric cancer, gastric malignant lymphoma (MALT), doctors in the digestive world still believe that there are Conditions should be eradicated. For some unexplained urticaria and unexplained anemia, sometimes Helicobacter pylori must be eradicated. ②However, the sterilization needs to be cautious! How to deal with it correctly? At present, combined with the consensus of experts, we recommend:

1. Definite peptic ulcer, some kind of gastric lymphoma (MALT lymphoma), it is strongly recommended to actively eradicate Helicobacter pylori!

2. For gastric cancer, partial gastritis, after gastric cancer, after subtotal gastrectomy, long-term use of analgesics, long-term use of aspirin, and some unexplained blood diseases, it is recommended to eradicate Helicobacter pylori!

3. For other diseases where Helicobacter pylori is found at the same time, whether it is necessary to eradicate Helicobacter pylori, there is no clear recommendation. ②

How to prevent Helicobacter pylori infection? First of all, we need to understand the common ways of Helicobacter pylori infection:

Dirty tableware, dinner, kissing, mother-to-child transmission, unclean stalls, social transmission, it can be seen that Helicobacter pylori infection is mostly caused by "disease in the mouth." Therefore, it is very important to pay attention to personal hygiene. Maintaining a healthy lifestyle in daily life, maintaining a stable internal environment, and avoiding imbalance of the internal flora are the most fundamental way to avoid Helicobacter pylori-related diseases. ②Therefore, the following aspects should be paid attention to in life:

1. Wash your hands frequently, especially before meals;

2. Disinfect the tableware, especially when eating with Helicobacter pylori positive people, separate the tableware;

3. Those with Helicobacter pylori infection should take the initiative to share meals with others;

4. Encourage the use of public chopsticks during dinner parties. It is best to use publicity to make the public aware of and accept the action of public chopsticks, that is, the National Public Chopsticks Action.

This article is referenced from:

①Liu Wenzhong. The fifth national consensus report on the management of Helicobacter pylori infection[J]. Gastroenterology, 2017(6).

②2019-07-24 "Doctor Xiehe said" (pumchdoctor) "Helicobacter pylori, should we "kill all"? 》